Juniors in the Jungle
Join us on May 4th to experience the sights and sounds of the jungle while getting to meet and interact with a variety of animals.
Registration is Closed. If you would like to still register please reach out to info@jepgirls.org:
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Participant's Name
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First Name
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Is this the Participant's first JEP event of 2024/2025?
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Birthday
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Hebrew School
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Does the participant have any allergies?
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Important Information/Special Concerns:
Mother's Name
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Is mother's home address the same as participant?
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Mother's Address
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Afghanistan
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Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
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Tunisia
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Turkmenistan
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Tuvalu
Uganda
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United States
Uruguay
Uzbekistan
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Vatican City
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Vietnam
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Isle of Man
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Western Sahara
Yemen
Zambia
Zimbabwe
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Father's Name
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First Name
Last Name
Father's Email
Father's Cell Phone Number
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Area Code
Phone Number
Is father's home address the same as participant?
*
Please Select
Yes
No
Father's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Parents' Marital Status
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Married
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Other
Other:
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Does the participant have a stepparent?
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Yes - one stepparent
Yes - two stepparents
No
Stepparent via
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Mother
Father
Stepparent's Name
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First Name
Last Name
Stepparent's Email
Stepparent's Cell Phone Number
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Area Code
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Second Stepparent via
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Mother
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Second Stepparent's Name
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First Name
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Second Stepparent's Email
Second Stepparent's Cell Phone Number
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Area Code
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Please list participant's siblings and ages:
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Emergency Contact (if parents unreachable)
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Relationship to Participant
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Would you like to purchase a JEP sweatshirt?
*
Please Select
Yes - Black Pull Over ($30)
Yes - Gray Zip Up ($30)
No
Sweatshirt Size
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Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
How did you hear about this event?
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Facebook
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JEP Magazine
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Other
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Name of Friend
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Do you have friends that aren't yet part of JEP? Suggest new friends to JEP. If your friend signs up for an event, you'll win a prize! Would you like to suggest a friend today?
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Yes! I want to win a prize!
Not today.
Please provide the friend's name, age/grade, school, a parent's name, parent's email address, and parent's phone number. (You can suggest as many friends as you would like.)
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Admission covers a small fraction of JEP's budget. JEP relies on donations from generous individuals to cover the cost of programs and events.Would you like to be an event sponsor?
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Donate $18
Donate $36
Donate $72
Donate $100
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Donate $180
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I hereby give consent for my daughter to participate in this JEP event. I understand that JEP takes photos and videos during events and posts them to the JEP website and social media and give permission for my daughter’s photos to be included in promotional materials. I understand that if my child has a medical need, JEP will make a conscientious effort to notify my spouse or me. In the event that this is not possible, I give permission for JEP Girls of Maryland and its staff, or person designated, to make available to my child professional emergency medical care when such care is indicated. I give permission for my child to receive proper medical care by any doctor, nurse, paramedic, or member of a medical staff of a hospital.
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By checking this box and printing my name below, I am giving my consent.
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